National Provider Identifier
Philip John Derleth, D.C.
Philip John Derleth, D.C. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Fairport, NY and a listed phone number of (585) 598-3535.
Profile Overview
- NPI
- 1659696771
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- March 31, 2010
- Last Updated
- March 31, 2010
Practice Location
- 1387 Fairport RD
- Suite 640
- Fairport, NY 14450-2003
Phone: (585) 598-3535
Mailing Address
- 40 Valley Brook Dr
- Fairport, NY 14450-9377
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1659696771
- Entity Type
- Individual
- Last Name
- Derleth
- First Name
- Philip
- Middle Name
- John
- Name Prefix
- Dr.
- Credential
- D.C.
- Mailing Street Address
- 40 Valley Brook Dr
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-9377
- Mailing Country
- US
- Mailing Phone
- (585) 598-3535
- Practice Street Address
- 1387 Fairport RD
- Practice Address Line 2
- Suite 640
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-2003
- Practice Country
- US
- Practice Phone
- (585) 598-3535
- Enumeration Date
- March 31, 2010
- Last Updated
- March 31, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)